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Meta
Tag Archives: nutrition
When should we start Parenteral Nutrition?
Following on from the previous post: This all brings me to a larger and very thorny issue, which is whether we should even be routinely starting parenteral nutrition (PN) immediately after birth at all! I hate to discuss this, as … Continue reading
Posted in Neonatal Research
Tagged enteral feeding, nutrition, Parenteral Nutrition, Randomized Controlled Trials
4 Comments
Why is MOM best? part 2
MOM is best, because it leads to the lowest incidence of NEC; but why? (if you didn’t read part 1, MOM is Mother’s Own Milk) The impacts of milk processing which create the differences in milk composition, detailed in my … Continue reading
Posted in Neonatal Research
Tagged breast milk, Necrotising Enterocolitis, nutrition
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Why is MOM best?
Mother’s Own Milk (MOM) seems to be the best base for enteral nutrition of the preterm infant, in terms of the risk of infection, the risk of Enterocolitis (NEC) and, probably, long term neurodevelopment. Reasonably good data show that replacing … Continue reading
Posted in Neonatal Research
Tagged breast milk, Necrotising Enterocolitis, nutrition
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Measure gastric residuals? Safe to stop?
A new RCT published in JAMA pediatrics compared growth and other clinical outcomes between infants <33 weeks gestation and <1250g who were managed with routine gastric residual measurements or without. (Parker LA, et al. Effect of Gastric Residual Evaluation on … Continue reading
Posted in Neonatal Research
Tagged Necrotising Enterocolitis, nutrition, Randomized Controlled Trials, statistics
1 Comment
Growing bigger, or growing better?
Babies with postnatal growth failure in the NICU do worse in the long term. This is a statistical association known for a long time. We also know that increasing nutritional intake, in calories and protein can prevent the relative weight … Continue reading
Better Nutrition, Better Brains
I write frequently on this blog about how prejudice regarding developmental and neurologic problems, and prejudice about preterm infants, combine to over-emphasize the difficulties that former preterm babies have, to the extent that professional societies develop guidelines for withholding care … Continue reading
Feed and grow
How to measure growth? How to describe growth rates? What does it matter? Several related articles in today’s post, the first two are about how to measure growth in preterm infants: Ashton JJ, et al. Assessing the growth of preterm … Continue reading
Hey, doctor, leave those guts alone!
Intestinal function is often sluggish after preterm delivery. Establishing early enteral nutrition, the goal of all of us, is interrupted often by repeated regurgitation, or large residuals (if you measure them) or abdominal distension. There are also reported correlations between … Continue reading
Neonatal Updates: Recent Nutritional Publications part 2.
Breast Milk and how to use it Colacci M, et al. Growth and Development in Extremely Low Birth Weight Infants After the Introduction of Exclusive Human Milk Feedings. American journal of perinatology. 2016(EFirst). This is a before and after study … Continue reading
Posted in Neonatal Research
Tagged breast milk, nutrition, Randomized Controlled Trials, Systematic Reviews
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Neonatal Updates: Recent Nutritional Publications part 1.
As there is no way I can catch up after the break, I will post a few ‘neonatal Updates’ to point my readers to things I found interesting over the last couple of months, this first group is all about … Continue reading
Neonatal Research 